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重症监护病房:新生儿听力筛查结果

Intensive care unit: results of the Newborn Hearing Screening.

作者信息

Rechia Inaê Costa, Liberalesso Kátia Pase, Angst Otília Valéria Melchiors, Mahl Fernanda Donato, Garcia Michele Vargas, Biaggio Eliara Pinto Vieira

机构信息

Human Communication Disorders, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.

Speech Therapy, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.

出版信息

Braz J Otorhinolaryngol. 2016 Jan-Feb;82(1):76-81. doi: 10.1016/j.bjorl.2015.06.004. Epub 2015 Oct 29.

Abstract

INTRODUCTION

Procedures for extending the life of newborns are closely related to potential causes of hearing loss, justifying the identification and understanding of risk factors for this deficiency.

OBJECTIVE

To characterize the population, analyze the frequency of risk factors for hearing loss, and assess the audiological status of infants attended in a Newborn Hearing Screening program (NHS).

METHODS

This was a retrospective study that analyzed medical records of 140 patients from a neonatal intensive care unit, identifying the frequency of risk factors for hearing loss and audiological status, utilizing transient otoacoustic emissions and brainstem auditory evoked potential (BAEP).

RESULTS

Prematurity was present in 78.87% of cases; 45% of the infants were underweight and 73% received ototoxic medication. Audiologically, 11.42% failed the NHS, and 5% of cases failed retest; of these, one had results compatible with hearing loss on BAEP.

CONCLUSION

A higher rate of low birth weight, and prematurity was observed in infants who underwent screening and had an audiological diagnosis by the third month of life. Only one newborn presented a change in audiological status. The authors emphasize the importance of auditory monitoring for all infants, considering this as a high-risk sample for hearing loss.

摘要

引言

延长新生儿生命的程序与听力损失的潜在原因密切相关,这证明了识别和了解这种缺陷的风险因素的合理性。

目的

描述人群特征,分析听力损失风险因素的频率,并评估参加新生儿听力筛查项目(NHS)的婴儿的听力状况。

方法

这是一项回顾性研究,分析了新生儿重症监护病房140例患者的病历,利用瞬态耳声发射和脑干听觉诱发电位(BAEP)确定听力损失风险因素的频率和听力状况。

结果

78.87%的病例存在早产;45%的婴儿体重过轻,73%的婴儿接受了耳毒性药物治疗。在听力方面,11.42%的婴儿NHS筛查未通过,5%的病例复查未通过;其中一例BAEP结果与听力损失相符。

结论

在出生后第三个月接受筛查并进行听力诊断的婴儿中,观察到低出生体重和早产的发生率较高。只有一名新生儿的听力状况发生了变化。作者强调对所有婴儿进行听力监测的重要性,认为这是一个听力损失的高风险样本。

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